WEBVTT 00:07.059 --> 00:09.590 We're the only health care system in 00:09.590 --> 00:11.479 the United States that has a dual 00:11.479 --> 00:13.757 mission . We take care of our patients , 00:13.757 --> 00:15.979 our beneficiaries day in day out in our 00:15.979 --> 00:18.110 hospitals and clinics . At the same 00:18.110 --> 00:21.069 time we prepare to go to war , so we 00:21.069 --> 00:24.129 have a duty to be sure that our service 00:24.129 --> 00:27.030 members are medically ready to deploy , 00:27.309 --> 00:29.510 and we have a duty to be sure that our 00:29.510 --> 00:32.069 medical teams are prepared to deploy on 00:32.069 --> 00:34.189 a moment's notice should our nations 00:34.189 --> 00:38.029 call us . Fundamentally we have a 00:38.029 --> 00:41.250 duty . To make sure the care in our 00:41.250 --> 00:44.049 hospitals and clinics is safe , it's 00:44.049 --> 00:46.009 the highest quality care that our 00:46.009 --> 00:48.770 patients can get anywhere . It's 00:48.770 --> 00:51.049 convenient . It's available to them 00:51.049 --> 00:54.880 when they need it . When I think of 00:54.880 --> 00:56.936 ready reliable care , I think of the 00:56.936 --> 00:59.119 four domains of change . Those 4 00:59.119 --> 01:01.341 domains are leadership commitment . The 01:01.341 --> 01:03.508 leaders have to be committed to making 01:03.508 --> 01:06.279 the care safer . The culture of patient 01:06.279 --> 01:08.589 safety in your hospital or your clinic , 01:08.809 --> 01:10.865 continuous process improvement . Are 01:10.865 --> 01:13.269 you working day in and day out to make 01:13.269 --> 01:15.989 the processes in your hospital more 01:15.989 --> 01:18.720 reliable , more sustainable , and then . 01:19.199 --> 01:21.250 The 4th domain of change is patient 01:21.250 --> 01:23.370 centeredness is our care centered on 01:23.370 --> 01:26.660 the patient ? Is it convenient ? Is it 01:26.660 --> 01:28.827 available when they say that they need 01:28.827 --> 01:31.199 it ? The United States military has 01:31.199 --> 01:33.440 shown can operate extraordinarily 01:33.440 --> 01:36.000 safely . We operate our aircraft 01:36.000 --> 01:38.279 carriers with young people who follow 01:38.279 --> 01:41.760 protocols very safely being able to 01:41.760 --> 01:44.199 operate these major , major ships out 01:44.199 --> 01:46.255 on the seas around the world . These 01:46.255 --> 01:48.421 were examples from the military health 01:48.421 --> 01:50.477 system how Department of Defense can 01:50.477 --> 01:52.088 deliver on this idea of high 01:52.088 --> 01:53.921 reliability , and we we actually 01:53.921 --> 01:53.919 learned a lot from them . 02:00.279 --> 02:02.550 OK , for today's huddle , let's start . 02:02.959 --> 02:05.680 ER saw 147 patients , 7 of those were 02:05.680 --> 02:07.847 admitted . Good morning , ma'am . Good 02:07.847 --> 02:10.013 morning , team from uh the director of 02:10.013 --> 02:12.124 Behavioral Health . Uh , we agreed to 02:12.124 --> 02:11.589 people in safety and with good 02:11.589 --> 02:13.509 permission uh across the board . 02:13.889 --> 02:16.429 Huddles the Part B of quality and 02:16.429 --> 02:19.429 safety and it is part of what Reliable 02:19.429 --> 02:21.589 is about is making sure that we 02:21.589 --> 02:24.070 identify problems ready on as the 02:24.070 --> 02:26.619 commander or director of a facility , 02:26.690 --> 02:28.690 the individual doesn't know all the 02:28.690 --> 02:30.857 answers . So we're communicating and . 02:30.857 --> 02:32.857 Collaborating in that one spot . We 02:32.857 --> 02:35.079 have all the leaders in the room and we 02:35.079 --> 02:37.134 could effectively engage , make sure 02:37.134 --> 02:39.190 everybody's on the same page . We're 02:39.190 --> 02:41.301 trying to take the sometimes abstract 02:41.301 --> 02:43.654 concept of high reliability and make it 02:43.654 --> 02:45.774 concrete , make it something that's 02:45.774 --> 02:48.580 objective . That's measurable and we 02:48.580 --> 02:51.059 can see whether we're improving over a 02:51.059 --> 02:53.170 period of time so that we continue to 02:53.170 --> 02:56.210 deliver high quality safe care that we 02:56.210 --> 02:58.339 owe to our patients . Humans are 02:58.339 --> 03:00.228 fallible . Human beings will make 03:00.228 --> 03:03.619 errors and the concept of high 03:03.619 --> 03:06.380 reliability is establishing processes . 03:06.880 --> 03:09.669 That reduce the risk that an error made 03:09.669 --> 03:12.002 by a human being will reach the patient . 03:12.389 --> 03:14.750 Barcoding helps us avoid making 03:14.750 --> 03:16.861 medication errors . We give thousands 03:16.861 --> 03:18.861 of medications every day across the 03:18.861 --> 03:21.083 military health system , and the use of 03:21.083 --> 03:23.630 barcoding done by our staff at the 03:23.630 --> 03:25.797 bedside of the patients day in and day 03:25.797 --> 03:27.908 out when we administer medications is 03:27.908 --> 03:29.963 making the care safer . I grew up in 03:29.963 --> 03:32.074 the military health system . I was in 03:32.074 --> 03:34.100 the military for 30 years . And so 03:34.100 --> 03:36.679 myself and my family receive care and I 03:36.679 --> 03:38.623 still receive care in the military 03:38.623 --> 03:40.790 health system , very proud of the work 03:40.790 --> 03:42.790 being done incrementally making the 03:42.790 --> 03:44.846 care safer and safer and safer every 03:44.846 --> 03:46.957 day to take care of our patients . We 03:46.957 --> 03:49.179 owe that to them and we owe that to our 03:49.179 --> 03:48.960 nation .